Jennifer A Davis (NPI# 1801159264, PAC ID# 3971732223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1801159264 |
| PAC ID by PECOS | 3971732223 |
| Professional Enrollment ID | I20190724003300 |
| Full Name | Jennifer A Davis |
| Organization Legal Name | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| Address |
619 E Mason St 4p57 Springfield IL 62701-1034 |
| Phone Number | 2177880706 |
| Gender | F |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3173435880 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140019 | HSHS GOOD SHEPHERD HOSPITAL INC |
| 141341 | PANA COMMUNITY HOSPITAL |
| 141350 | ST FRANCIS HOSPITAL |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 619 E Mason St, 4p57, Springfield, IL 62701-1034 | 2177880706 | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| 800 E Carpenter St, Springfield, IL 62769-0002 | 217544646444399 | ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F |
| Organization Legal Name | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Amanda P Monteleone | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Lane, St Josephs Hospital Breese, Breese, IL 62230-3618 |
| Jeanne M Kairouz | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 2 W Adams St, Sullivan Family Care, Sullivan, IL 61951-1943 |
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Ellen M Zindel | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 1800 E Lake Shore Dr 6th Flr, Decatur, IL 62521-3810 |
| Lori Beth Helmers | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Regina Y Chiu | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 9515 Holy Cross Lane, St Josephs Hospital Breese, Breese, IL 62230-3618 |
| Scott Marrus | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Jennifer K Black | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 1215 Franciscan Dr, Litchfield, IL 62056-1778 |
| Street Address |
619 E MASON ST 4P57 |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62701-1034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Raja C Maddipoti | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Meredith M Fleming | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Julie C Borjon | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Connie L Robinson | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Mark Jung-ching Shen | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer Nichelson | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shankho Ganguli | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shauna B Vogler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Margaret F Jordan | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| William S Stevens Jr. | Thoracic Surgery | Siu Physicians and Surgeons Inc | 619 E Mason St, Springfield, IL 62701-1034 |
| Edward Teaman | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Andrea Nicole Bloodworth | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Wesley Brian Zwiefel | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Laura J Grubb | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Bharath Rajagopalan | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jeffrey P Christy | Thoracic Surgery | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Neil J Thomas | Thoracic Surgery | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Amy Durako | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in zip 62701 | |||
| City | SPRINGFIELD |
| Zip Code | 62701 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SPRINGFIELD + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Jennifer A Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.